Kodi mukuopa jakisoni wa ziwengo? Nayi njira yothetsera vutoli! (Epinephrine Mphuno Spray)

Tangoganizirani mwana wanu akudya chinachake, kapena kulumidwa ndi mavu kapena mavu, kenako mwadzidzidzi akuyamba kutupa thupi lonse ndikuyamba kupuma movutikira. Mankhwala opulumutsa moyo pazochitika zotere ndi jakisoni wa epinephrine . Koma pa nthawi yadzidzidzi, mantha opereka jakisoni ndi manja onjenjemera ... okhawo omwe adakumanapo ndi izi ndi omwe amadziwa. Ndipotu, kafukufuku adapeza kuti ana atatu mwa anayi omwe adayamba kukhala ndi vuto lalikulu la ziwengo sanapatsidwe jakisoni uyu ndi makolo awo. Chifukwa chachikulu cha izi ndi mantha a singano. Koma tsopano zikuwoneka kuti ndi nthawi yoti tisiyane ndi mantha amenewo.

Kodi mankhwala atsopano opanda singano ndi ati?

Mwachidule, iyi ndi mankhwala opopera a epinephrine m'mphuno opanda singano. Amatchedwa 'Neffy' pamsika. Amapangidwira kuchiza matenda oopsa a ziwengo, omwe timawatcha kuti anaphylaxis, ndipo akhoza kukhala oopsa pa moyo.

Tangoganizirani, thupi lonse la munthu limatupa, amavutika kupuma, ndipo kuthamanga kwa magazi kumatsika mwadzidzidzi chifukwa cha chakudya, mankhwala, kapena kulumidwa ndi tizilombo. Pakagwa mwadzidzidzi chonchi, chithandizo choyamba komanso chofunikira kwambiri chopulumutsa moyo ndi epinephrine. Mpaka pano, tinkangolandira jakisoni. Idabwera ngati cholembera chodzipangira jekeseni ngati EpiPen chomwe anthu ambiri amadziwa. Koma mtengo wa jakisoniyo, tsiku lotha ntchito, kusapezeka kwake, komanso makamaka kuopa singano, zinapangitsa anthu ambiri kukana kugwiritsa ntchito.

Kodi ubwino waukulu wa izi ndi wotani?

Tiyeni tiwone ubwino wa njira yatsopanoyi imodzi ndi imodzi. Izi ndi zifukwa zomwe madokotala ndi odwala onse ali ndi chiyembekezo chachikulu pa izi.

Ndani angagwiritse ntchito izi?

Pakadali pano, bungwe la US Food and Drug Administration (FDA) lavomereza kuti igwiritsidwe ntchito ndi akuluakulu ndi ana olemera makilogalamu opitilira 30 (mapaundi 66). Pa avareji, makilogalamu 30 ndi kulemera kwa mwana wazaka zapakati pa 8-11.

Koma musataye mtima. Kampani yomwe imapanga mankhwalawa ikunena kuti ikufuna chilolezo chogwiritsa ntchito ana opepuka, olemera pakati pa makilogalamu 15 ndi 30 (mapaundi 30 ndi 66). Chifukwa chake n'zotheka kuti mwayi uwu ukhoza kupezeka kwa ana aang'ono posachedwa.

Kodi mumagwiritsa ntchito bwanji izi? Mlingo wake ndi wotani?

Izi zimabwera mu phukusi logwiritsidwa ntchito kamodzi kokha lomwe lili ndi mabotolo awiri opopera. Izi zikutanthauza kuti botolo lililonse lingapereke mlingo umodzi wokha. Mlingo umodziwu ndi wofanana ndi mlingo wamba wodzipangira jekeseni.

Ngati zizindikiro za ziwengo sizikuthetsedwa, kupopera kwachiwiri kungagwiritsidwe ntchito patatha mphindi 5-10 (kapena pambuyo pake).

Chofunika kwambiri ndikulankhula ndi dokotala wanu ndikupeza upangiri woyenera wa momwe mungagwiritsire ntchito izi, nthawi yoperekera mlingo wachiwiri, ndi zina zotero. Ndikofunikira kwambiri kudziwa zomwe mungachite pasadakhale popanda kuda nkhawa pakagwa ngozi.

Kodi zonse zili bwino? Kodi pali zovuta zilizonse?

Izi ndi zatsopano, kotero anthu ena angakayikire pang'ono. Pali ena omwe amadabwa kuti, "Kodi izi zipambana ngati jakisoni yomwe takhala tikugwiritsa ntchito kwa nthawi yayitali?" Ndizowona. Makamaka iwo omwe azolowera kugwiritsa ntchito jakisoni ndipo sakuopa akhoza kukayikira pang'ono kusintha chinthu chatsopanochi.

Koma chofunika kwambiri chomwe akatswiri azachipatala amanena ndi ichi:

Kodi izi zikugwiradi ntchito? Kodi kafukufukuyu akuti chiyani?

Inde. Kafukufuku wa sayansi womwe wachitika izi zisanavomerezedwe wasonyeza kuti kuchuluka kwa epinephrine komwe kumatulutsidwa m'magazi pambuyo pa kupopera kwa mphuno ndi kofanana ndi kuchuluka komwe kumaperekedwa ndi jakisoni. Ndipo momwe kumawonjezerera kuthamanga kwa magazi ndi kugunda kwa mtima ndi kofanana. Izi zikutanthauza kuti mphamvu yomwe imapereka ndi yofanana ndi jakisoni.

Chodabwitsa n'chakuti, mankhwala opopera awa apezeka kuti amagwira ntchito bwino ngakhale mphuno ili yodzaza ndipo ili ndi ntchofu. Choncho sadzasokoneza kutsekeka kwa mphuno komwe kumabwera chifukwa cha ziwengo .

Ponseponse, vuto lalikulu pochiza matenda oopsa a ziwengo ndilakuti anthu sagwiritsa ntchito epinephrine pa nthawi yake. Ena amataya nthawi pogwiritsa ntchito mankhwala ena, monga antihistamines, m'malo mwake. Aliyense amakhulupirira kuti mankhwala atsopano osavuta kugwiritsa ntchito awa adzakhala yankho labwino pa vutoli.